| Lisa Marie Jessee, FNP | |
|
1754 Us Highway 23 N, Weber City, VA 24290-7071 | |
| (276) 386-5980 | |
| (276) 386-9387 |
| Full Name | Lisa Marie Jessee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1754 Us Highway 23 N, Weber City, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891011235 | NPI | - | NPPES |
| 1520727 | Medicaid | TN | |
| 1891011235 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024168750 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024168750 (Virginia) | Primary |
| Entity Name | Holston Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Jessee, FNP Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066 | Lisa Marie Jessee, FNP 1754 Us Highway 23 N, Weber City, VA 24290-7071 Ph: (276) 386-5980 |
Kristen Woods, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976 |
Ms. Kristie L Galloway, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1754 Us Highway 23 N, Weber City, VA 24290 Phone: 276-386-5980 Fax: 276-386-9387 |